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General NPI Number Information
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NPI Number | 1255518783
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PULMONARY & SLEEP DISORDERS
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 23363 US 82 WEST
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City | SHERMAN
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State | TX
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Zip | 75092
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Country | US
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Telephone | 903-892-0102
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Fax | 903-868-1776
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Provider Business Mailing Address
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Address Line | 23363 US 82 WEST
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City | SHERMAN
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State | TX
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Zip | 75092
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Country | US
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Telephone | 903-892-0102
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Fax | 903-868-1776
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLEN J SALEM
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Credential | MD
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Telephone | 903-892-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number | K9165
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K9165
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License Number State | TX
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